Care Coach (Long-Term Services & Support)

About the role

Become a part of our caring community Humana Healthy Horizons in Virginia is looking for Care Coaches who will assess and evaluate members’ needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitating interaction with resources appropriate for the care and wellbeing of members.

Responsibilities

• Assesses and evaluates members’ needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitating interaction with resources appropriate for the care and wellbeing of members.
• Works with members in the field at their home, Nursing Facility (NF) or location of the member’s choice, spending quality time assessing their goals, needs and barriers and then connecting our members with quality services to promote their ultimate well-being and drive person centered health outcomes.
• Supports members receiving Long Term Services and Support (LTSS), with a focus on addressing health related social needs (HRSNs), providing psychosocial support, and ensuring LTSS meets the member’s service needs.
• Makes recommendations for appropriate Home and Community-Based Services to enable member’s independence in the community.
• Facilitates interactions with other payer sources, providers, and Interdisciplinary Care Teams.
• Edits and documents annual Level of Care assessment into state portal.

Requirements

• Must reside in Virginia in one of the following: Petersburg, Prince Goerge, Dinwiddie or Colonial Heights.
• Has a Bachelor's degree in health or human services field OR an active LPN license in the Commonwealth of Virginia without disciplinary action.
• Has two (2) years of prior experience in health care and/or case management.
• Has one (1) year of experience working directly with individuals who meet the Cardinal Care Priority Population criteria (adults, pediatrics populations at risk for chronic medical conditions & high social needs).
• Has intermediate to advanced computer skills and experience with Microsoft Word, Excel, and Outlook.
• Has proven ability of critical thinking, organization and problem-solving skills.

Qualifications

• Must reside in Virginia in one of the following: Petersburg, Prince Goerge, Dinwiddie or Colonial Heights.
• Has a Bachelor's degree in health or human services field OR an active LPN license in the Commonwealth of Virginia without disciplinary action.
• Has two (2) years of prior experience in health care and/or case management.
• Has one (1) year of experience working directly with individuals who meet the Cardinal Care Priority Population criteria (adults, pediatrics populations at risk for chronic medical conditions & high social needs).
• Has intermediate to advanced computer skills and experience with Microsoft Word, Excel, and Outlook.
• Has proven ability of critical thinking, organization and problem-solving skills.

Skills

• Intermediate to advanced computer skills and experience with Microsoft Word, Excel, and Outlook.
• Patient-facing role with strong communication and interpersonal skills.
• Ability to use a variety of electronic information applications/software programs including electronic medical records.
• Experience with electronic case note documentation and documenting in multiple computer applications/systems.
• Experience working with complex health population.
• Experience working with a Waiver Program.
• Knowledge of community health and social service agencies and additional community resources.
• Bilingual or Multilingual: English/Spanish, Arabic, Vietnamese, Amharic, Urdu or other - Must be able to speak, read and write in both languages without limitations and assistance.

Benefits

See “Additional Information” section for more information.

Pay

$53,700 - $72,600 per year

Schedule

Monday – Friday; 8:00am – 5:00pm Eastern Standard Time (EST).